加速康复外科对剖宫产术后子宫复旧、泌乳及循环功能的影响OA

Objective To investigate the effect of enhanced recovery after surgery(ERAS)applied in the perioperative management of cesarean section on uterine involution,lactation,and circulatory function.Methods A retrospective analysis was conducted on the clinical data of 150 pregnant women who were scheduled for cesarean section and were admitted from January 2023 to December 2024.These patients were divided into the control group and the observation group based on the perioperative management plan,with 75 patients in each group.The control group received conventional management,while the observation group received ERAS management.The circulatory functions[heart rate(HR),diastolic blood pressure(DBP),systolic blood pressure(SBP)],clinical indicators,lactation status,uterine involution indicators,complications,and patient satisfaction were statistically analyzed and compared between the two groups.Results At 15 min after the operation,HR,DBP and SBP of the observation group were higher than those of the control group(P＜0.05).Time to first oral intake,time to flatus,time to ambulation,and length of hospital stay of the observation group were shorter than those of the control group,and the visual analogue scale(VAS)pain scores on the 1st,3rd and 5th days after the operation were lower than those of the control group(P＜0.01);there was no significant difference in the duration of operation and intraoperative blood loss between the two groups(P＞0.05).On the 1st,3rd and 5th days after the operation,the serum prolactin level and lactation volume of the observation group were higher than those of the control group,and the lactation initiation time was shorter than that of the control group(P＜0.01).On the 5th and 42nd days after the operation,the fundal height and sum of three uterine dimensions of the observation group were smaller than those of the control group,and the duration of lochia was shorter than that of the control group(P＜0.01).There was no significant difference in the incidence of uterine cavity effusion and complications between the two groups(P＞0.05).The patient satisfaction of the observation group[92.00％(69/75)]was higher than that of the control group[72.00％(54/75)](P＜0.05).Conclusion The ERAS-guided perioperative management of cesarean section can significantly optimize the stability of perioperative circulatory function,reduce postoperative pain,promote rapid postoperative recovery,improve lactation function and uterine involution,and increase patient satisfaction.